English Honor Society Application

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Name*
First Last
Brookdale ID#*
Address
Street Address Address Line 2 City State ZIP Code
Email
Phone
Please list the English courses you have completed at Brookdle and the grades you received. Theis includes writing courses:
Course Semester/Year Grade
Please tell us about one course you’ve taken in a discipline other than English in which you earned a grade of B or better because of demonstrated strength in your writing and/or scholarship. Be sure to give the full course title, the name of the instructor, the semester/year you completed the course, and a brief description of the work you submitted for this course.
Please write a statement of your academic goals:
Digital Signature (please type your name)
Date
MM slash DD slash YYYY

Course	Semester/Year	Grade

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